Cited by 50Mindfulness and Compassion InterventionsHealthcare professionals’ stress and burnoutInnovations in Medical Education

Feasibility and effectiveness of an online mindfulness meditation program for medical students

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Danilewitz, Marlon, Koszycki, Diana, Maclean, Heather, Sanchez-Campos, Millaray, Gonsalves, Carol, Archibald, Douglas, Bradwejn, Jacques·2018·Canadian Medical Education Journal

Abstract

Background: The need to incorporate tools to promote medical student wellness in medical education is underscored by the concerning rates of psychological distress among them. The objective of this prospective cohort study was to obtain preliminary data on the feasibility and effectiveness of an online mindfulness intervention for medical student wellness.Methods: A convenience sample of 52 medical students consented to participate in this study. Feasibility was assessed by ease of recruitment, number of modules completed, satisfaction with the program, and adherence to a regular meditation practice. Participants completed the Maslach Burnout Inventory, the Jefferson Scale of Empathy-medical student version, the Five Face of Mindfulness Questionnaire-short form, and the Self Compassion Scale-short form pre and post intervention.Results: The convenience sample was recruited within a two-month period. Forty-five participants completed at least one of seven modules. Descriptive statistics (mean±standard deviation) revealed that the mean number of modules completed was 4.85±2.7. Mean satisfaction with the modules was 7.07±1.1 out of 10. Adherence to a regular formal meditation practice was poor; the average amount of formal meditation practice per module was 34.14±27.44 minutes. Self-compassion and the “observe and describe” facets of mindfulness practice significantly statistically increased from baseline, but no such change was observed for levels of burnout and empathy.Conclusion: The present study indicates that an online mindfulness meditation program may be of interest to medical students. The results did not provide any evidence that the program was effective but we believe further research and development is warranted.

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Crossref · 10.36834/cmej.43041

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  • Overall positive impact on the describe and observe facets of the FFMQ, and on empathy, was noted in one study.

    “Overall positive impact of the describe and observe facets of the FFMQ, and on empathy, was noted in one study [23].”

    From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]

    The Results (Preliminary efficacy, Table 2) report significant increases in the FFMQ describe and observe facets. Empathy scores rose slightly, but the Results and Discussion explicitly state that the effect on empathy was not statistically significant, so the claimed positive impact on empathy overstates the finding. (LLM, conf=0.90)

    Experimental — accuracy not yet measured
  • In Danilewitz et al., there were no statistically significant changes in MBI burnout subscales (Personal Achievement p=0.55, Emotional Exhaustion p=0.51, Depersonalisation p=0.71).

    “Results from the Danilewitz et al. study [23] demonstrated no statistically significant changes in the MBI’s burnout subscales, including Personal Achievement (p=0.55), Emotional Exhaustion (p=0.51) and Depersonalisation (0.71).”

    From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]

    The Results (Preliminary efficacy, Table 2) report no statistically significant changes in the three MBI subscales. The cited p-values match for Personal Achievement (.55) and Depersonalization (.71), but Emotional Exhaustion is reported as .051, not .51. (LLM, conf=0.93)

    Experimental — accuracy not yet measured
  • Data was incomplete: 55.32% in Moore et al. and 13.46% in Danilewitz et al. did not complete the studies.

    “furthermore, data was incomplete as the rate of the student who did not complete the studies were 55.32% in the Moore et al. study [1] , and 13.46% Danilewitz et al. [23].”

    From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]

    The Results (Preliminary efficacy; page unavailable) confirm incomplete follow-up data: 37 of 52 enrolled students completed post-intervention assessments, so 15 of 52 (28.8%) did not. The Results (Feasibility; page unavailable) say 45 of 52 started the program; 13.46% corresponds to the seven who did not start, not the proportion who failed to complete the study. This verdict concerns only the Danilewitz et al. figure, not Moore et al. (LLM, conf=0.88)

    Experimental — accuracy not yet measured
  • In Danilewitz et al., the intervention had a statistically significant impact on the "observe" facet of the Five Facet Mindfulness Questionnaire, with estimated marginal mean increasing from 12.0 ± 0.5 to 15.1 ± 0.5 (p<0.001).

    “The estimated marginal mean for this facet increased from 12.0 ± 0.5 to 15.1 ± 0.5 (p<0.001).”

    From Effectiveness of online mindfulness interventions on medical students’ mental health: a systematic review (2021) · cites this paper as [23]

    The Results (Preliminary efficacy, Table 2) report a significant increase in the FFMQ observe facet, but the pre-intervention estimated marginal mean is 12.9 ± 0.5, not 12.0 ± 0.5. The post-intervention value is 15.1 ± 0.5, and the Results text reports p<.001. (LLM, conf=0.94)

    Experimental — accuracy not yet measured
  • Danilewitz et al. was a pilot study with intervention duration varying from seven weeks to four months.

    “The mindfulness intervention utilised in Danilewitz et al.’s pilot study was entirely dependent on the time taken by the participant to complete the seven modules [23]. Overall, the intervention duration time varied from seven weeks to four months [23].”

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Research works printed but not linked: 3

  1. [16]Shapiro SI, Astin JA, Bishop SR, Cordova M Mindfulness-based stress reduction for health care professionals: results form a randomized trial. Int J Stress Manage. 2005; 12: 164– 76
  2. [18]Barak A, Hen L, Boniel-Nissim M, Shapiro N A comprehensive and a meta-analysis of the effectiveness of internet-based psychotherapeutic interventions. J Technol Hum Serv. 2008; 26: 109- 60.
  3. [42]Vettese LC, Toneatto T, Stea JN, Nguyen L, Wang JJ Do mindfulness meditation participants do their homework? And does it make a Difference? A review of the empirical literature. J Cogn Psychother. 2009; 23: 198- 225.

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Authors
Danilewitz, M., Koszycki, D., Maclean, H., Sanchez-Campos, M., Gonsalves, C., Archibald, D., & Bradwejn, J.
Affiliations
  • University of British Columbia (CA)
  • University of Ottawa (CA)
Venue
Canadian Medical Education Journal
Published
2018-11-13
Volume
9
Issue
4
Pages
e15-25
ISSN
1923-1202 (ISSN-L)
OpenAlex
W2905840810
Cited by
50
References
41
Citations by year
2026: 3 · 2025: 3 · 2024: 13 · 2023: 12 · 2022: 12 · 2021: 6 · 2020: 1
FWCI
2.06
Type
journal article
Language
en
Open access
Locations
  • Canadian Medical Education Journal (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Health Professions › General Health Professions › Healthcare professionals’ stress and burnout
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
Keywords
mindfulness meditation, online intervention, medical students, student well-being, psychological distress, burnout, empathy, self-compassion, feasibility, medical education

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